Intravenous Immunoglobulin (IVIG) for Treatment of Unexplained Secondary Recurrent Miscarriage

NCT ID: NCT00606905

Last Updated: 2012-10-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

82 participants

Study Classification

INTERVENTIONAL

Study Start Date

1999-11-30

Study Completion Date

2010-01-31

Brief Summary

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Recurrent miscarriage is a prevalent reproductive problem that affects many couples who are trying to establish a family. This clinical study will evaluate the effectiveness of intravenous immunoglobulin (IVIG) in improving the live birth rate in couples who suffer from secondary recurrent miscarriage. This study will help in providing an answer to the question of whether IVIG is helpful in secondary recurrent miscarriage.

Detailed Description

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The purpose of this multi-center trial is to evaluate the efficacy of IVIG in improving the ongoing pregnancy (\>20 weeks of gestation) rate in couples with unexplained secondary recurrent miscarriage, and; to characterize and compare pharmacokinetic and pharmacodynamic parameters for IVIG pre-conceptually and in the 1st and 2nd trimesters of pregnancy, so that an improved IVIG dosing strategy can be determined.

Conditions

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Miscarriage, Recurrent Abortion, Habitual

Keywords

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Recurrent miscarriage Recurrent spontaneous abortion Habitual abortion IVIG Randomized Controlled Trial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

IVIG, either Gamimune N (Talecris Biotherapeutics, Inc., Clayton, NC) or Gamunex 10% (Talecris Biotherapeutics, Inc., Clayton, NC), both as a 10% solution

Group Type ACTIVE_COMPARATOR

Gamimune N or Gamunex 10%

Intervention Type BIOLOGICAL

500 mg/kg administered in the follicular phase of the menstrual cycle. With conception, infusions every four weeks until 18-20 weeks of gestation.

2

normal saline

Group Type PLACEBO_COMPARATOR

normal saline

Intervention Type OTHER

equivalent volume of normal saline

Interventions

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Gamimune N or Gamunex 10%

500 mg/kg administered in the follicular phase of the menstrual cycle. With conception, infusions every four weeks until 18-20 weeks of gestation.

Intervention Type BIOLOGICAL

normal saline

equivalent volume of normal saline

Intervention Type OTHER

Other Intervention Names

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Immune Globulin Intravenous (Human), 10%, IGIV-C, 10%

Eligibility Criteria

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Inclusion Criteria

* Couple has a history of unexplained secondary recurrent miscarriage.
* Most recent pregnancy occurred within one year of discontinuing contraception.

Exclusion Criteria

* Maternal IgA deficiency
* Maternal history of immunoglobulin hypersensitivity.
* Maternal contraindication to pregnancy.
* Evidence of active hepatitis or immunocompromised state in either partner.
* Concomitant use of medication(s) for treatment of recurrent miscarriage, such as but not limited to progesterone, clomiphene citrate, acetylsalicylic acid, heparin, glucocorticoids or hCG injections.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of British Columbia

OTHER

Sponsor Role collaborator

University of Tennessee

OTHER

Sponsor Role collaborator

Sunnybrook Health Sciences Centre

OTHER

Sponsor Role collaborator

Grifols Therapeutics LLC

INDUSTRY

Sponsor Role collaborator

University of Chicago

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mary D Stephenson, MD, MSc

Role: STUDY_CHAIR

University of Chicago

William Kutteh, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

The University of Tennesee

Susan Purkiss, MD

Role: PRINCIPAL_INVESTIGATOR

The University of British Columbia

Cliff Librach, MD

Role: PRINCIPAL_INVESTIGATOR

Sunnybrook Health Sciences Centre

Locations

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The University of Chicago

Chicago, Illinois, United States

Site Status

Countries

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United States

References

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Stephenson MD, Kutteh WH, Purkiss S, Librach C, Schultz P, Houlihan E, Liao C. Intravenous immunoglobulin and idiopathic secondary recurrent miscarriage: a multicentered randomized placebo-controlled trial. Hum Reprod. 2010 Sep;25(9):2203-9. doi: 10.1093/humrep/deq179. Epub 2010 Jul 15.

Reference Type DERIVED
PMID: 20634190 (View on PubMed)

Other Identifiers

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PHS M01 RR00055

Identifier Type: -

Identifier Source: secondary_id

13157A

Identifier Type: -

Identifier Source: org_study_id